Active NPI
Suzanne B Goen, LPC, LCDC
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1861676579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 3031 I H 10 W
San Antonio, TX 78201-5159 - Phone
- (210) 731-1300
- Fax
- (210) 731-1310
- NPI assigned
- Dec 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
3031 I H 10 W
San Antonio, TX 78201-5159
Mailing address
3031 I H 10 W
San Antonio, TX 78201-5159
Phone (210) 731-1300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5642 | Other | TX | LCDC |
| 58398 | Other | TX | LPC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bexar County Board of Trustees for Mental Health Mental Retardation | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Center for Health Care Services
- Counselor
- San Antonio, TX
- NPI 1730134586
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1861676579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 I H 10 W",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782015159",
"telephone_number": "210-731-1300",
"fax_number": "210-731-1310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 I H 10 W",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782015159",
"telephone_number": "210-731-1300",
"fax_number": "210-731-1310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOEN",
"first_name": "SUZANNE",
"middle_name": "B",
"credential": "LPC, LCDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-18",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCDC",
"identifier": "5642",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC",
"identifier": "58398",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.